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<br />I II <br /> <br />._ I II <br /> <br /> <br /> <br /> <br /> <br /> <br />~ O~ <br />~~ ~ g~ <br />f ~ ~ ~~' ~ i <br />~~ i'r,. : i~ <br />~ ("> '" 0 ~ ::3 ~ ;;' <br />~ ~ 200600760 '" ~ ~l- <br />~ <br />~ <br /> <br />1. The re~tate subject to this lien is: D oJ2R kp;-u ,~ s ",(: b7i.J< ~ <br />l.-j-:J, hi k If' ' " <br /> <br />2. The person against whose interest in the real estate the lien is claimed is: (~..., .' ,-b~l1.A <br />~)~ , , <br />~' ' , ' <br />,.~.l: \,U 1F <br />3. The~ean~~, of~effaimantis;, Q~ 0\ Vl.dee gqrie , ' <br />]fC 5' ~:JZ6!.1 CJ1 otf~0~ ~T) 'Yl e--J 0 ~22~ <br /> <br />4. The name and address of the person with whom the claimant ntracted is: <br /> <br />II I <br /> <br />N <br />IS <br />IS <br />0) <br />IS <br />IS <br />-...J <br />0) <br />IS <br /> <br /> <br />CONSTRUCTION LIEN <br /> <br />~~< klL,t4~ <br /> <br />" <br /> <br /> <br /> <br />:;~g 0 ( <br />5. A general description of the claimant's services performed to, to be performed or materials furnished or to be <br />Glt' furnished for the", improvement al)d the contract price is: <br /> <br />'q. (j CS () CS # () C c- . G ( <br /> <br />hop.l). <br /> <br />6. (Complete one of the following) ~ <br />~ The amount unpaid, whether due or not, to the claimant for the services or materials is $.;{aJ\Ja~ I Q.'\:J <br /> <br /> <br />_ The unpaid amount is not fixed by the contract, but a good faith estimate in the amount of $ <br /> <br />7. (Complete one of the following) <br />~ The time the last services or materials were furnished was g.v~ Qp;- r')., a G I <br />_ The time the last services or materials were furnished has not yet occurred but is estimated to occur <br /> <br />~~\.OvAQ()(1 ~^A~ <br /> <br />Signature of Claimant <br /> <br /> <br /> <br />Subscribed and sworn to :::~~:..~~ft ~-;~ ~ -'. ~~o <br />DENICE R. KRUSE Notary Public <br />My Camm. Exp. Sept. 25, 2006 <br /> <br /> <br />(52-147. See 52-148 for amendment; 52-149 for assignment; 52-137 for recording time; 52-154 for discharge or release). <br /> <br />II I <br />----TI <br /> <br />Re~~-:/~(1l- <br />